Emmanuel Dwomoh-Tweneboah, AGACNP
Nurse Practitioner, Acute Care in Portland, OR. Individual provider (NPI-1).
NPI number1124529243
StatusActive
Last updated in NPPESMar 3, 2018
Details
- NPI
- 1124529243
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Dwomoh-Tweneboah
- Credential
- AGACNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2018
- Last updated
- Mar 3, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 201710153NP-PP | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-9000
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-4373 · Fax 503-418-4189
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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